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D
Poor

OVERTON COUNTY HEALTH AND REHAB CENTER

318 BILBREY STREET · LIVINGSTON, TN 38570

9318236403 · Government - County

125 beds86.7 residents117 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

OVERTON COUNTY HEALTH AND REHAB CENTER receives an overall staffing grade of D (Poor). With 3.923 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3045 HPRD, below the recommended 0.75. It is 0.03 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.65% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.3045 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.923hrs/resident/day▲ 0.03
CMS benchmark: 3.48
RN HPRD
0.3045hrs/resident/day▼ 0.38
Recommended: 0.75
Weekend Drop-off
13.65%
4.0804 weekday → 3.5234 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.2733hrs/resident/day
Direct care aides
LPN HPRD
1.0858hrs/resident/day
Licensed practical nurses
Consistency
0.4679std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Overton County Average+0.00 HPRD
3.92
03.92 HPRD
vs. Tennessee State Average+0.05 HPRD
3.87
03.92 HPRD
vs. National Average+0.03 HPRD
3.90
03.92 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
OVERTON COUNTY HEALTH AND REHAB CENTER ★
LIVINGSTON · This facility
—
D
3.9230.3045★★★★☆
SIGNATURE HEALTHCARE OF PUTNAM COUNTY
COOKEVILLE
15.2 mi
C
3.54540.4496★★☆☆☆
STANDING STONE CARE AND REHAB
MONTEREY
16.4 mi
B
3.48440.7135★★★★☆
PICKETT CARE AND REHABILITATION CENTER
BYRDSTOWN
16.9 mi
B
3.79190.5971★★★☆☆
MABRY HEALTH CARE
GAINESBORO
17 mi
D
3.46190.3319★★★☆☆
AHC BETHESDA
COOKEVILLE
17.8 mi
C
3.86120.5204★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
5
Total Deficiencies
$0
Fines Assessed
May 14, 2025Health
3 deficiencies cited
▼
Nov 28, 2018Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.